14D0977029 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - GALVA

Laboratory Demographics

  • CLIA Code: 14D0977029
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - GALVA
  • Facility Address: 230 S EXCHANGE ST
    GALVA, IL
    ZIP 61434
  • Facility Phone: 309 344-3161
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANDREW PETERSON
  • NPI Number: 1578040275
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0977029
LAB Type Practitioner Other
Facility Name OSF HEALTHCARE - MEDICAL GROUP - GALVA
Street 230 S EXCHANGE ST
City GALVA
State IL
ZIP 61434
Phone 309 344-3161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Practitioner Other
Lab Director ANDREW PETERSON

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This page was last updated on: 9/29/2025